Active NPI
Devon Otero
- Speech-Language Pathologist
- Issaquah, WA
National Provider Identifier
1205224607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLPI.SI.60531726
- Practice address
- 340 E Sunset Way
Suite 101
Issaquah, WA 98027-3474 - Phone
- (425) 557-6657
- NPI assigned
- Jan 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLPI.SI.60531726 | WA | Primary |
Addresses
Primary practice location
340 E Sunset Way
Suite 101
Issaquah, WA 98027-3474
Mailing address
1239 NE 92ND St
Seattle, WA 98115-3134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPI.SI.60531726 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sammamish Children's Therapy | Speech-Language Pathologist | Past | Accepting new patients |
| Sammamish Children's Therapy Services LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Issaquah, WA
- NPI 1285846600
-
- Speech-Language Pathologist
- Issaquah, WA
- NPI 1982556080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420588800000",
"number": "1205224607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 NE 92ND ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981153134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E SUNSET WAY",
"address_2": "SUITE 101",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980273474",
"telephone_number": "425-557-6657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "DEVON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-07",
"last_updated": "2015-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "SLPI.SI.60531726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.